CMT IV: Piriformis Syndrome Flashcards

1
Q

Treatment Goal of Piriformis Syndrome

A

Decrease Hypertonicity of Piriformis Muscle

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2
Q

Piriformis Syndrome Treatment

A

1)Resting Position

2) Dry Warming
- Rocking
- Compressions

3) Fascial Work
- Open Palm/Loose Fist (45 degree angle)

4) Joint Mobilization
- Hip Pin and Stretch (ext. rot., fist pin, int. rot.)
- Sacral Compressions

5) Clearing
- Lateral Border of Sacrum
- Greater Trochanter
- Iliac Crest Border

6) Deeper Warming
- Light Effleurage
- Petrissage (loose fist)
- Heavy Effleurage (include low back and hamstrings)

7) Specific Work
- Glut Med, Glut Max
- Piriformis (Frog Leg)

8) Stretch
- Ext. Rot.

9) Close
- Heavy Effleurage
- Petrissage
- Light Petrissage

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3
Q

Piriformis Homework

A
  • Chair Figure 4 w/ Forward Lean
  • Sit on Tennis Ball
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4
Q

What is Piriformis Syndrome

A

An entrapment of the sciatic nerve due to hypertonic piriformis muscle

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5
Q

Actions of Piriformis Muscle

A
  • Eccentric Int. Rot. (during walking)
  • Int. Rot (hip flexed >90 degrees)
  • Ext. Rot (hip neutral or extended)
  • Horiz. ABD (hip flexed 90 degrees/seated)
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6
Q

Function of Sciatic Nerve

A

Supplies motor and sensory fibers to posterior thigh, leg, and foot

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7
Q

Causes of Piriformis Syndrome

A
  • Overuse
  • Postural Issues (valgus knees, hyper-lordosis, ITB contraction
  • Trauma
  • Arthritic Inflammation to SI/Hip Joint
  • Extended Sitting
  • Pregnancy
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8
Q

S/S of Piriformis Syndrome

A
  • Ext. Rot. During Walking
  • Limping
  • Posterior Nerve Pain from Hip to Foot
    = Sitting from Sitting or Running
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9
Q

Piriformis Trigger Points Pain Pattern

A

Posterior Dull and Achy Pain from Hip to Knee

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10
Q

Disc Herniation Test

A

Straight Leg Rase Test w/ Braggard’s

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11
Q

Location of Piriformis Trigger Points

A
  • Lateral Border of the Sacrum
  • 1/3 of the Way from Greater Trochanter
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12
Q

Test for Piriformis Syndrom

A

PACE ABD Test

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13
Q

Muscle that needs to be sufficiently warmed to treat piriformis

A

Glute Max

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14
Q

When not to perform deep friction techniques

A

Client is taking anti inflammatory medication

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15
Q

Piriformis Syndrome Treatment Frequency

A

1x Week for 4 to 6 Weeks

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16
Q
A